Individual provider Active NPI

Raymond Carpenter Haggerty III, D.D.S.

  • General Practice Dentistry
  • Bethlehem, PA
National Provider Identifier
1154325546
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS018858L Issued in PA
Practice address
204 E Market St
Bethlehem, PA 18018-6296
Phone
(610) 866-3161
Fax
(610) 866-3166
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS018858L PA Primary

Addresses

Primary practice location

204 E Market St
Bethlehem, PA 18018-6296

Mailing address

204 E Market St
Bethlehem, PA 18018-6296
Phone (610) 866-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629000435 PA Order and Referring Only - DentistPractitioner - Dentist 6406168848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154325546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E MARKET ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186296",
            "telephone_number": "610-866-3161",
            "fax_number": "610-866-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E MARKET ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186296",
            "telephone_number": "610-866-3161",
            "fax_number": "610-866-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "RAYMOND",
        "middle_name": "CARPENTER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018858L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.